Source:http://linkedlifedata.com/resource/pubmed/id/10626755
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2000-1-28
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pubmed:abstractText |
The purpose of the study was to determine the enantiomer pharmacokinetics of omeprazole and 5-hydroxy-omeprazole before and after administration of the antimalarial artemisinin to confirm artemisinin's ability to induce CYP2C19. Nine healthy male Vietnamese subjects were given a single 20 mg dose of omeprazole orally 1 week before (day - 7) artemisinin administration. Artemisinin was then given orally (500 mg) for 7 days (days 1-7). On days 1 and 7, a single 20 mg dose of omeprazole was coadministered with artemisinin. After a washout period of 6 days, a single 20 mg dose of omeprazole was again administered together with a single 500 mg of artemisinin (day 14). Stereoselective pharmacokinetics of omeprazole and 5-hydroxyomeprazole was determined on days of omeprazole administration. Seven days of artemisinin administration significantly decreased the AUC of both omeprazole enantiomers (day 7), compared with day 1 (P < 0.001). All values were normalized after the washout period. Artemisinin increased the AUC ratio of R-5-hydroxyomeprazole/R-omeprazole significantly (P < 0.01) on day 7. The AUC ratio of omeprazole sulphone/S-omeprazole did not differ between study days. Artemisinin decreased the AUC of S-omeprazole to the same extent as that of R-omeprazole in extensive CYP2C19 metabolizers. suggesting that artemisinin induces a different enzyme in addition to CYP2C19. These results support and strengthen earlier findings that artemisinin induces CYP2C19 as well as at least one enzyme other than CYP3A4.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/2-Pyridinylmethylsulfinylbenzimidazo...,
http://linkedlifedata.com/resource/pubmed/chemical/5-hydroxymethylomeprazole,
http://linkedlifedata.com/resource/pubmed/chemical/Antimalarials,
http://linkedlifedata.com/resource/pubmed/chemical/Artemisinins,
http://linkedlifedata.com/resource/pubmed/chemical/Aryl Hydrocarbon Hydroxylases,
http://linkedlifedata.com/resource/pubmed/chemical/CYP2C19 protein, human,
http://linkedlifedata.com/resource/pubmed/chemical/Cytochrome P-450 Enzyme System,
http://linkedlifedata.com/resource/pubmed/chemical/Enzyme Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/Mixed Function Oxygenases,
http://linkedlifedata.com/resource/pubmed/chemical/Omeprazole,
http://linkedlifedata.com/resource/pubmed/chemical/Sesquiterpenes,
http://linkedlifedata.com/resource/pubmed/chemical/artemisinine
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pubmed:status |
MEDLINE
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pubmed:issn |
0767-3981
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
671-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10626755-2-Pyridinylmethylsulfinylbenzimidazoles,
pubmed-meshheading:10626755-Antimalarials,
pubmed-meshheading:10626755-Area Under Curve,
pubmed-meshheading:10626755-Artemisinins,
pubmed-meshheading:10626755-Aryl Hydrocarbon Hydroxylases,
pubmed-meshheading:10626755-Chromatography, High Pressure Liquid,
pubmed-meshheading:10626755-Cytochrome P-450 Enzyme System,
pubmed-meshheading:10626755-Drug Interactions,
pubmed-meshheading:10626755-Enzyme Inhibitors,
pubmed-meshheading:10626755-Humans,
pubmed-meshheading:10626755-Male,
pubmed-meshheading:10626755-Mixed Function Oxygenases,
pubmed-meshheading:10626755-Omeprazole,
pubmed-meshheading:10626755-Sesquiterpenes,
pubmed-meshheading:10626755-Stereoisomerism,
pubmed-meshheading:10626755-Structure-Activity Relationship
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pubmed:year |
1999
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pubmed:articleTitle |
Stereospecific analysis of omeprazole supports artemisinin as a potent inducer of CYP2C19.
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pubmed:affiliation |
Department of Medical Laboratory Sciences and Technology, Karolinska Institute, Huddinge University Hospital, Sweden.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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